Bartkowski S B, Krzystkowa K M, Kuczma M
Kliniki Chirugii Szczekowo-Twarzowej i Stomatologicznej AM w Krakowie.
Klin Oczna. 1991 Jun;93(6):164-6.
The authors discuss the indications for the operation, the surgical technique and results obtained in 92 patients who have been operated for ptosis (109 operations) by the modified method of Berke and Neuhaus. From the experience of the authors it appears that the best approach is a subciliary one especially in congenital ptosis. The Neuhaus method showed to be successful in patients with ptosis connected with the "jaw-winking" Marcus-Gunn phenomenon; in these patients one obtained the elevation of the upper lid and liquidation of the synkinesis.
in congenital unilateral ptosis very good result was achieved in 63 p.c., a good one in 32.3 p.c., a poor one in 4.8 p.c. In bilateral ptosis very good result could be achieved in 36.8 p.c., a good one in 52.5 p.c. and a poor one in 10.6 p.c. of cases. Insufficiency of the lid closure as a principal complication of operation was seen in 6 patients (6.5 p.c.) without any consecutive pathological changes in the eye.
作者讨论了手术适应症、手术技术以及采用伯克和诺伊豪斯改良方法对92例上睑下垂患者(进行了109次手术)的手术结果。从作者的经验来看,最佳方法是睑缘下切口,尤其是对于先天性上睑下垂。诺伊豪斯方法在与“下颌瞬目”马库斯 - 冈恩现象相关的上睑下垂患者中显示出成功;在这些患者中,上睑得到提升且联带运动消失。
在先天性单侧上睑下垂患者中,63%取得了非常好的效果,32.3%效果良好,4.8%效果不佳。在双侧上睑下垂患者中,36.8%能取得非常好的效果,52.5%效果良好,10.6%效果不佳。6例患者(6.5%)出现了作为手术主要并发症的睑裂闭合不全,眼部未出现任何后续病理变化。